BEAM: An 8-week Dose Ranging Study of CHF 718 pMDI in Asthmatic Subjects

Sponsor
Chiesi Farmaceutici S.p.A. (Industry)
Overall Status
Completed
CT.gov ID
NCT03084718
Collaborator
(none)
610
134
5
16.3
4.6
0.3

Study Details

Study Description

Brief Summary

The purpose of this study is to evaluate the dose-response of different doses of CHF 781 Pressurized Metered Dose Inhaler (pMDI) on lung function and other clinical outcomes, to identify the optimal dose(s) in terms of benefit/ risk ratio for further development in the target patient population.

Condition or Disease Intervention/Treatment Phase
  • Drug: CHF 718 pMDI
  • Drug: Placebo pMDI
  • Drug: Beclomethasone Dipropionate (BDP)
Phase 2

Detailed Description

This is a phase II, multicenter, randomized, double-blind, placebo and active controlled dose ranging 5-arm parallel group study to identify the optimal dose of CHF 781 pMDI with respect to lung function and other clinical efficacy and safety outcomes.

After a 2 week run-in period under rescue albuterol as needed and background inhaled corticosteroid (ICS), patients will be randomized to one of the 5 study treatment groups. After randomization, patients will be assessed after 4 and 8 weeks of study treatment at the center. A follow-up phone call will be performed a week after the last visit.

During the study, daily asthma symptoms, peak expiratory flow, rescue and background medication use, and compliance with the study medication will be recorded via subject diary. Treatment-Emergent Adverse Events (TEAEs) will be assessed and recorded throughout the study. At screening and subsequent visits, patients will undergo physical and vital signs examinations, spirometry measurements, and 12-lead ECG. Routine hematology, blood chemistry, and pregnancy testing will be performed before enrollment and at end of study. 24-hr urine cortisol and creatinine will be assessed before and after the first dose and just before the last dose of study treatment.

Study Design

Study Type:
Interventional
Actual Enrollment :
610 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Other
Official Title:
An 8-week, Multicenter, Randomized, Double-blind, Placebo and Active-controlled, Parallel Group, Dose-ranging Study to Evaluate the Efficacy and Safety of 3 Doses of CHF 718 pMDI (HFA Beclomethasone Dipropionate Via Pressured Metered Dose Inhaler) in Asthmatic Subjects.
Actual Study Start Date :
Jul 28, 2017
Actual Primary Completion Date :
Nov 28, 2018
Actual Study Completion Date :
Dec 5, 2018

Arms and Interventions

Arm Intervention/Treatment
Experimental: Treatment A

CHF 718 pMDI 100 μg Total Daily Dose (TDD), Dose 1; CHF 718 pMDI 50 μg/actuation: 1 inhalation twice daily (BID);

Drug: CHF 718 pMDI
Dose Response: Test one of three different doses of CHF 718 pMDI

Experimental: Treatment B

CHF 718 pMDI 400 μg Total Daily Dose (TDD) 400 μg, Dose 2; CHF 718 pMDI 100 μg/actuation: 2 inhalations BID;

Drug: CHF 718 pMDI
Dose Response: Test one of three different doses of CHF 718 pMDI

Experimental: Treatment C

CHF 718 pMDI Total Daily Dose (TDD) 800 μg, Dose 3; CHF 718 pMDI 100 μg/actuation: 4 inhalations BID;

Drug: CHF 718 pMDI
Dose Response: Test one of three different doses of CHF 718 pMDI

Placebo Comparator: Treatment D

Placebo Control, Placebo; CHF 718 pMDI matched Placebo: 4 inhalations BID;

Drug: Placebo pMDI
Placebo Control

Active Comparator: Treatment E

Beclomethasone dipropionate (BDP) Hydrofluoroalkane (HFA), Total Daily Dose (TDD) 320 µg; QVAR® 80 μg/actuation: 2 inhalations BID;

Drug: Beclomethasone Dipropionate (BDP)
Active Control
Other Names:
  • QVAR® 80µg
  • Outcome Measures

    Primary Outcome Measures

    1. Pre-dose Morning FEV1 at Week 8 - Change From Baseline [Baseline, Week 8]

      Change from baseline in pre-dose morning FEV1 (average of pre-dose FEV1 measurements) at Week 8. Spirometry, used to measure FEV1, was performed according to internationally accepted standards. Definitions: Baseline=Baseline values for pre-dose FEV1 were the average of measurements taken at V2 (Week 0) at 45 minutes and 15 minutes pre-dose; FEV1=Forced expiratory volume in the 1st second;

    Secondary Outcome Measures

    1. Pre-dose Morning FEV1 at Week 4 - Change From Baseline [Baseline, Week 4]

      Change from baseline in pre-dose morning FEV1 at Week 4. Spirometry, used to measure FEV1, was performed according to internationally accepted standards. Definitions: Baseline=Baseline values for pre-dose FEV1 were the average of measurements taken at V2 (Week 0) at 45 minutes and 15 minutes pre-dose; FEV1=Forced expiratory volume in the 1st second;

    2. Pre-dose Morning FVC at Week 4 and 8 - Change From Baseline [Baseline, Week 4, Week 8]

      Change from baseline in pre-dose morning FVC at Week 4 and 8. Spirometry, used to measure FVC, was performed according to internationally accepted standards. Definitions: Baseline=Baseline values for pre-dose FVC were the average of measurements taken at V2 (Week 0) at 45 minutes and 15 minutes pre-dose; FVC=Forced vital capacity;

    3. Asthma Control Questionnaire-7© (ACQ-7) Score at Week 4 and Week 8 - Change From Baseline [Baseline, Week 4, Week 8]

      The ACQ consists of 7 items: 6 simple self-administered questions referring to asthma control and rescue treatment usage with 1 week recall, and a 7th item consisting of the percent (%) predicted FEV1 completed by clinic staff. Scoring uses a 7-point scale: 0 = "totally controlled" and 6 = "severely uncontrolled". The ACQ score was calculated as the average of all 7 items. Definitions: ACQ-7 score=Asthma Control Questionnaire-7©; Information regarding the American Thoracic Society ACQ questionnaire is also available at: https://member.thoracic.org/members/assemblies/assemblies/srn/questionaires/acq.php; Baseline ACQ-7 score = ACQ score recorded at V2 (Week 0) Day 1, before randomization; FEV1=Forced expiratory volume in the 1st second;

    4. Average Use of Rescue Medication - Change From Baseline [Baseline (average of the 2-week run-in period); Inter-visit period 1 (average of the first 4 weeks); Inter-visit period 2 (average of the last 4 weeks); Entire treatment period (average of 8 weeks)]

      Change from baseline in average use of rescue medication, during Inter-visit period 1, Inter-visit period 2, Entire treatment period. Definitions: Baseline=For the efficacy variable -- average use of rescue medication -- derived from the electronic diary (eDiary), baseline values were the averages recorded during the run-in period; Inter-visit period 1=Starts from the pm assessment of the Start of the Randomized Treatment Period to the am assessment at Visit 3 (Week 4); Inter-visit Period 2=Starts from the pm assessment of the day the subject returns to the clinic (Visit 3) to the am assessment of the date of Visit 4 (Week 8); Entire treatment period=Average of 8 weeks; am=morning pm=evening

    5. Percentage (%) of Rescue Medication-free Days - Change From Baseline [Baseline (average of the 2-week run-in period); Inter-visit period 1 (average of the first 4 weeks); Inter-visit period 2 (average of the last 4 weeks); Entire treatment period (average of 8 weeks)]

      Change from baseline in percentage (%) of rescue medication-free days. An increased value indicates improvement from baseline. Definitions: Baseline=For the efficacy variable -- percentage (%) of rescue medication-free days -- derived from the electronic diary (eDiary), baseline values were the averages/percentages recorded during the run-in period. Inter-visit period 1=Starts from the pm assessment of the Start of the Randomized Treatment Period to the am assessment at Visit 3 (Week 4); Inter-visit Period 2=Starts from the pm assessment of the day the subject returns to the clinic (Visit 3) to the am assessment of the date of Visit 4 (Week 8); Entire treatment period=Average of 8 weeks; am=morning pm=evening

    6. Overall Daily Asthma Symptoms Scores - Change From Baseline [Baseline (average of the 2-week run-in period); Inter-visit period 1 (average of the first 4 weeks); Inter-visit period 2 (average of the last 4 weeks); Entire treatment period (average of 8 weeks)]

      Overall daily asthma symptoms scores - Change From Baseline (am and pm). Subjects had to record asthma symptom score (overall symptoms, cough, wheeze, chest tightness and breathlessness) in the am (night-time asthma symptom score) and in the pm (daytime asthma symptom score). These data were collected in the subject's diary. Daily asthma symptoms score were performed separately for am score and pm score and also as a total, where the total equals the sum of the am and pm scores. Degree of asthma symptoms by score: 0=None, 1=Mild, 2=Moderate, and 3=Severe. Baseline=Averages values during the run-in period; Inter-visit period 1=Starts from the pm assessment of the Start of the Randomized Treatment Period to the am assessment at Visit 3 (Week 4); Inter-visit Period 2=Starts from the pm assessment of the day the subject returns to the clinic (Visit 3) to the am assessment of the date of Visit 4 (Week 8); Entire treatment period=Average of 8 weeks; am=morning pm=evening

    7. Percentage (%) of Asthma Symptoms-free Days - Change From Baseline [Baseline (average of the 2-week run-in period); Inter-visit period 1 (average of the first 4 weeks); Inter-visit period 2 (average of the last 4 weeks); Entire treatment period (average of 8 weeks)]

      Change from baseline in Percentage (%) of asthma symptoms-free days. Asthma symptoms-free days is the number of days with a total asthma score=0 (daily morning plus evening asthma score). Subjects recorded asthma symptom score as described in the Outcome measure #7. Definitions: Baseline=For the efficacy variables -- daytime and night-time asthma symptom scores -- derived from the eDiary, baseline values were the averages/percentages recorded during the run-in period; Inter-visit period 1=Starts from the pm assessment of the Start of the Randomized Treatment Period to the am assessment at Visit 3 (Week 4); Inter-visit Period 2=Starts from the pm assessment of the day the subject returns to the clinic (Visit 3) to the am assessment of the date of Visit 4 (Week 8); Entire treatment period=Average of 8 weeks; am=morning pm=evening

    8. Percentage (%) of Asthma Control Days - Change From Baseline [Baseline (average of the 2-week run-in period); Inter-visit period 1 (average of the first 4 weeks); Inter-visit period 2 (average of the last 4 weeks); Entire treatment period (average of 8 weeks)]

      Change from baseline in percentage (%) of asthma control days, during Inter-visit period 1, Inter-visit period 2, Entire treatment period. This outcome measure was calculated according to the following definition: Days with a total daily morning + evening asthma score = 0 AND No rescue medication use. Definitions: Baseline=For the efficacy variable -- asthma control days -- derived from the eDiary, baseline values were the averages/percentages recorded during the run-in period; Inter-visit period 1=Starts from the pm assessment of the Start of the Randomized Treatment Period to the am assessment at Visit 3 (Week 4); Inter-visit Period 2=Starts from the pm assessment of the day the subject returns to the clinic (Visit 3) to the am assessment of the date of Visit 4 (Week 8); Entire treatment period=Average of 8 weeks; am=morning pm=evening

    9. Pre-dose Peak Expiratory Flow (PEF) (L/Min) (Morning and Evening) - Change From Baseline [Baseline (average of the 2-week run-in period); Inter-visit period 1 (average of the first 4 weeks); Inter-visit period 2 (average of the last 4 weeks); Entire treatment period (average of 8 weeks)]

      Change from baseline in pre-dose Peak Expiratory Flow (PEF) (Liters/min), morning and evening measurements. Definitions: Baseline=For the efficacy variable -- morning and evening PEF -- derived from the eDiary, the baseline values were the averages/percentages recorded during the run-in period; PEF=evening peak expiratory flow; Inter-visit period 1=Starts from the pm assessment of the Start of the Randomized Treatment Period to the am assessment at Visit 3 (Week 4); Inter-visit Period 2=Starts from the pm assessment of the day the subject returns to the clinic (Visit 3) to the am assessment of the date of Visit 4 (Week 8); Entire treatment period=Average of 8 weeks; am=morning pm=evening

    10. Vital Signs (Systolic and Diastolic Blood Pressure) - Change From Baseline [Baseline, Week 4, Week 8]

      Vital signs (systolic and diastolic blood pressure) at baseline, week 4, and week 8. Change from baseline. Definitions: Baseline=Baseline values were defined at visit 2 (Week 0) pre-dose; DBP=Diastolic blood pressure; SBP=Systolic blood pressure;

    11. 12-lead ECG Parameters - Heart Rate - Change From Baseline [Baseline, Week 8]

      12-lead electrocardiogram (12-lead ECG) parameter - heart rate (HR) was measured at baseline (Day 1) and Week 8. Change from baseline. Definitions: Baseline=Baseline values were defined at visit 2 (Week 0) pre-dose; bpm=Beats per minute;

    12. 12-lead ECG Parameters - PR, QRS, QTcF - Change From Baseline. [Baseline, Week 8]

      12-lead electrocardiogram (12-lead ECG) parameters - PR, QRS, QTcF intervals - were measured at baseline (Day 1) and Week 8. Changes from baseline. Definitions: Baseline=Baseline values were defined at visit 2 (Week 0); QTcF=Fridericia-corrected QT interval; msec=Millisecond;

    13. 12-lead ECG Parameters - Prolonged QTcF - Change From Baseline [Baseline, Week 8]

      Number of participants with prolonged QTcF. Change from baseline. Baseline=Baseline values were defined at visit 2 (Week 0) pre-dose; QTcF=Fridericia-corrected QT interval;

    14. 24-hr Urine Free Cortisol - Change From Baseline [Baseline, Week 8]

      24-hr Urinary Free Cortisol - Change From Baseline. For the evaluation of the 24-hr Urine-Free cortisol excretion, 24-hour urine samples were collected. Urine-free cortisol was measured using liquid chromatography-tandem mass spectrometry (LC-MS/MS). Definitions: Baseline=Baseline values were defined at visit 2 (Week 0) pre-dose;

    15. 24-hr Creatinine - Change From Baseline. [Baseline, Week 8]

      24-hr Creatinine - Change From Baseline. For the evaluation of the 24-hr creatinine excretion, 24-hour urine sample were collected. Creatinine was measured using liquid chromatography-tandem mass spectrometry (LC-MS/MS). Definitions: Baseline=Baseline values were defined at visit 2 (Week 0) pre-dose;

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 75 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Male or female subjects aged ≥18 and ≤75 years who have signed an Informed Consent form prior to initiation of any study-related procedure.

    • A diagnosis of asthma as defined in the Global Initiative for Asthma (GINA) Report, 2016, documented for at least 1 year prior to screening.

    • Subjects with poorly controlled or uncontrolled asthma evidenced by a score at the Asthma Control Questionnaire 7 © (ACQ-7) ≥1.5 (this criterion must be met at screening and at randomization visits).

    • Subjects with a pre-bronchodilator Forced Expiratory Volume in the 1st Second (FEV1) ≥50% and <85% of their predicted normal value, after appropriate washout from bronchodilators, at the screening and randomization visits.

    • Subjects with a positive response to a reversibility test at screening (pre - post BD), within 1 year prior to or at screening defined as ΔFEV1≥12% and ≥200 mL over baseline within 30 minutes after inhaling 4 puffs of albuterol HFA 90µg/actuation.

    • Use of inhaled corticosteroids (low/medium dose according to GINA Report 2016) with or without a long-acting bronchodilator (LABD) for 3 months (stable dose in the last 4 weeks) before screening visit (V).

    • A cooperative attitude and ability to demonstrate correct use of the diary, peak flow meter, and pMDI inhalers.

    • A basal morning (7-10 am) serum cortisol level between 7-28 µg/dL at screening visit (V1).

    • A Body Mass Index (BMI): 18.5 ≤ BMI <35 kg/m^2.

    Exclusion Criteria:
    • Pregnant (as evident by a positive urine human chorionic gonadotropin (hCG) or serum β-hCG test) or lactating women and all women physiologically capable of becoming pregnant (i.e. women of childbearing potential) UNLESS they are willing to use a highly effective birth control method

    • Subjects who suffer from chronic obstructive pulmonary disease (COPD) as defined by the GOLD Report 2017, or are suspected of having Asthma COPD Overlap Syndrome (ACOS) as defined in GINA Report, 2016.

    • Inability to carry out pulmonary lung function testing, to comply with study procedures or with study drug intake.

    • Current smokers or ex-smokers (tobacco, vapor cigarettes, marijuana) with a smoking history of >10 pack-years or having stopped smoking one year or less prior to screening visit.

    • History of life-threatening asthma, clinically significant uncontrolled disease or respiratory infection.

    • An asthma exacerbation requiring oral corticosteroids within 3 months or hospitalization within 6 months prior to screening.

    • Subjects with unresolved bacterial or viral respiratory tract, sinus or middle ear infection affecting asthma status within 2 weeks prior to screening.

    • Subjects who received a vaccination within 2 weeks prior to screening or during the run-in.

    • Subjects with oral candidiasis at screening or at randomization.

    • Subjects with any clinically significant, uncontrolled condition

    • Subjects who have clinically significant cardiovascular condition

    • Subjects who have a clinically significant abnormal 12-lead ECG that results in active medical problem which may impact the safety of the subject according to Investigator's judgement.

    • Subjects whose 12-lead ECG shows Fridericia corrected QT interval (QTcF) >450 ms for males or QTcF >470 ms for females at screening and randomization visits.

    • Subjects with known intolerance/hypersensitivity or contra-indication to treatment with ß2-adrenergic receptor agonists, inhaled corticosteroids or propellant gases/excipients.

    • Subjects with concomitant immunosuppressive therapy, use of oral or injected corticosteroids, anti-Immunoglobulin E (IgE), anti-Interleukin 5 (IL5), or other monoclonal or polyclonal antibodies within 12 weeks prior to screening.

    • Use of potent cytochrome P450 3A4 inhibitors and inducers within 4 weeks prior to screening.

    • History of alcohol abuse and/or substance/drug abuse within 12 months prior to screening.

    • Subjects who have received an investigational drug within 1 month or 5 half-lives (whichever is greater) prior to screening visit, or have been previously randomized in this trial, or are currently participating in another clinical trial.

    • Subjects who are mentally or legally incapacitated, or subjects accommodated in an establishment as a result of an official or judicial order.

    • Subjects who have undergone major surgery in the 3 months prior to screening visit or have a planned surgery during the trial.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Chiesi Investigational Site Birmingham Alabama United States 35244
    2 Chiesi Investigational Site Montgomery Alabama United States 36106
    3 Chiesi Investigational Site Phoenix Arizona United States 85014
    4 Chiesi Investigational Site Surprise Arizona United States 85374
    5 Chiesi Investigational Site Tempe Arizona United States 85283
    6 Chiesi Investigational Site Little Rock Arkansas United States 72209
    7 Chiesi Investigational Site Anaheim California United States 92801
    8 Chiesi Investigational Site Encinitas California United States 92024
    9 Chiesi Investigational Site Escondido California United States 92025
    10 Chiesi Investigational Site Fullerton California United States 92835
    11 Chiesi Investigational Site Huntington Beach California United States 92647
    12 Chiesi Investigational Site Long Beach California United States 90806
    13 Chiesi Investigational Site Los Angeles California United States 90017
    14 Chiesi Investigational Site Los Angeles California United States 90025
    15 Chiesi Investigational Site Los Angeles California United States 90048
    16 Chiesi Investigational Site Newport Beach California United States 92663
    17 Chiesi Investigational Site North Hollywood California United States 91606
    18 Chiesi Investigational Site Rolling Hills Estates California United States 90274
    19 Chiesi Investigational Site Sacramento California United States 95821
    20 Chiesi Investigational Site San Diego California United States 92120
    21 Chiesi Investigational Site San Diego California United States 92123
    22 Chiesi Investigational Site San Jose California United States 95117
    23 Chiesi Investigational Site Tustin California United States 92780
    24 Chiesi Investigational Site Westminster California United States 92683
    25 Chiesi Investigational Site Boulder Colorado United States 80301
    26 Chiesi Investigational Site Colorado Springs Colorado United States 80907
    27 Chiesi Investigational Site Denver Colorado United States 80230
    28 Chiesi Investigational Site Greenwood Colorado United States 80112
    29 Chiesi Investigational Site Wheat Ridge Colorado United States 80033
    30 Chiesi Investigational Site Aventura Florida United States 33180
    31 Chiesi Investigational Site Clearwater Florida United States 33765
    32 Chiesi Investigational Site Daytona Beach Florida United States 32117
    33 Chiesi Investigational Site Doral Florida United States 33166
    34 Chiesi Investigational Site Gainesville Florida United States 32607
    35 Chiesi Investigational Site Hialeah Florida United States 33016
    36 Chiesi Investigational Site Kissimmee Florida United States 34741
    37 Chiesi Investigational Site Lauderdale Lakes Florida United States 33319
    38 Chiesi Investigational Site Loxahatchee Groves Florida United States 33470
    39 Chiesi Investigational Site Maitland Florida United States 32751
    40 Chiesi Investigational Site Miami Florida United States 33133
    41 Chiesi Investigational Site Miami Florida United States 33144
    42 Chiesi Investigational Site Miami Florida United States 33157
    43 Chiesi Investigational Site Miami Florida United States 33165
    44 Chiesi Investigational Site Miami Florida United States 33173
    45 Chiesi Investigational Site Orlando Florida United States 32801
    46 Chiesi Investigational Site Palmetto Bay Florida United States 33157
    47 Chiesi Investigational Site Plantation Florida United States 33322
    48 Chiesi Investigational Site Pompano Beach Florida United States 33060
    49 Chiesi Investigational Site Saint Cloud Florida United States 34769
    50 Chiesi Investigational Site Sarasota Florida United States 34239
    51 Chiesi Investigational Site Winter Park Florida United States 32789
    52 Chiesi Investigational Site Dacula Georgia United States 30019
    53 Chiesi Investigational Site Duluth Georgia United States 30096
    54 Chiesi Investigational Site Gainesville Georgia United States 30501
    55 Chiesi Investigational Site Marietta Georgia United States 30060
    56 Chiesi Investigational Site Savannah Georgia United States 31405
    57 Chiesi Investigational Site Chicago Illinois United States 60607
    58 Chiesi Investigational Site Chicago Illinois United States 60612
    59 Chiesi Investigational Site Crowley Louisiana United States 70526
    60 Chiesi Investigational Site New Orleans Louisiana United States 70124
    61 Chiesi Investigational Site Baltimore Maryland United States 21236
    62 Chiesi Investigational Site Bethesda Maryland United States 20814
    63 Chiesi Investigational Site Fall River Massachusetts United States 02720
    64 Chiesi Investigational Site Fall River Massachusetts United States 02721
    65 Chiesi Investigational Site North Dartmouth Massachusetts United States 02747
    66 Chiesi Investigational Site South Dartmouth Massachusetts United States 02747
    67 Chiesi Investigational Site Detroit Michigan United States 48202
    68 Chiesi Investigational Site Minneapolis Minnesota United States 55402
    69 Chiesi Investigational Site Columbia Missouri United States 65203
    70 Chiesi Investigational Site Festus Missouri United States 63028
    71 Chiesi Investigational Site Rolla Missouri United States 65401
    72 Chiesi Investigational Site Saint Louis Missouri United States 63110
    73 Chiesi Investigational Site Saint Louis Missouri United States 63141
    74 Chiesi Investigational Site Warrensburg Missouri United States 64093
    75 Chiesi Investigational Site Missoula Montana United States 59808
    76 Chiesi Investigational Site Omaha Nebraska United States 68114
    77 Chiesi Investigational Site Las Vegas Nevada United States 89102
    78 Chiesi Investigational Site Las Vegas Nevada United States 89146
    79 Chiesi Investigational Site Skillman New Jersey United States 08558
    80 Chiesi Investigational Site Albuquerque New Mexico United States 87108
    81 Chiesi Investigational Site Albuquerque New Mexico United States 87109
    82 Chiesi Investigational Site Bronx New York United States 10455
    83 Chiesi Investigational Site Brooklyn New York United States 11201
    84 Chiesi Investigational Site New York New York United States 10016
    85 Chiesi Investigational Site New York New York United States 10022
    86 Chiesi Investigational Site Charlotte North Carolina United States 28207
    87 Chiesi Investigational Site Charlotte North Carolina United States 28277
    88 Chiesi Investigational Site Gastonia North Carolina United States 28054
    89 Chiesi Investigational Site Hendersonville North Carolina United States 28739
    90 Chiesi Investigational Site Hickory North Carolina United States 28601
    91 Chiesi Investigational Site Monroe North Carolina United States 28112
    92 Chiesi Investigational Site Mooresville North Carolina United States 28117
    93 Chiesi Investigational Site Winston-Salem North Carolina United States 27103
    94 Chiesi Investigational Site Cincinnati Ohio United States 45231
    95 Chiesi Investigational Site Cincinnati Ohio United States 45242
    96 Chiesi Investigational Site Dayton Ohio United States 45409
    97 Chiesi Investigational Site Dayton Ohio United States 45417
    98 Chiesi Investigational Site Grove City Ohio United States 43123
    99 Chiesi Investigational Site Munroe Falls Ohio United States 44262
    100 Chiesi Investigational Site Toledo Ohio United States 43617
    101 Chiesi Investigational Site Edmond Oklahoma United States 73034
    102 Chiesi Investigational Site Medford Oregon United States 97504
    103 Chiesi Investigational Site Portland Oregon United States 97202
    104 Chiesi Investigational Site East Providence Rhode Island United States 02914
    105 Chiesi Investigational Site East Providence Rhode Island United States 02941
    106 Chiesi Investigational Site Warwick Rhode Island United States 02886
    107 Chiesi Investigational Site Anderson South Carolina United States 29621
    108 Chiesi Investigational Site Gaffney South Carolina United States 29340
    109 Chiesi Investigational Site Greenville South Carolina United States 29615
    110 Chiesi Investigational Site Rock Hill South Carolina United States 29732
    111 Chiesi Investigational Site Spartanburg South Carolina United States 29301
    112 Chiesi Investigational Site Spartanburg South Carolina United States 29303
    113 Chiesi Investigational Site Union South Carolina United States 29379
    114 Chiesi Investigational Site Chattanooga Tennessee United States 37419
    115 Chiesi Investigational Site Chattanooga Tennessee United States 37421
    116 Chiesi Investigational Site Knoxville Tennessee United States 37909
    117 Chiesi Investigational Site Smyrna Tennessee United States 37167
    118 Chiesi Investigational Site Spring Hill Tennessee United States 37174
    119 Chiesi Investigational Site Allen Texas United States 75013
    120 Chiesi Investigational Site Beaumont Texas United States 77702
    121 Chiesi Investigational Site Cypress Texas United States 77429
    122 Chiesi Investigational Site Dallas Texas United States 75224
    123 Chiesi Investigational Site Dallas Texas United States 75231
    124 Chiesi Investigational Site El Paso Texas United States 79903
    125 Chiesi Investigational Site McKinney Texas United States 75069
    126 Chiesi Investigational Site Pearland Texas United States 77584
    127 Chiesi Investigational Site Plano Texas United States 75093
    128 Chiesi Investigational Site San Antonio Texas United States 78217
    129 Chiesi Investigational Site Sherman Texas United States 75092
    130 Chiesi Investigational Site Saint George Utah United States 84790
    131 Chiesi Investigational Site South Burlington Vermont United States 05403
    132 Chiesi Investigational Site Norfolk Virginia United States 23507
    133 Chiesi Investigational Site Everett Washington United States 98208
    134 Chiesi Investigational Site Greenfield Wisconsin United States 53228

    Sponsors and Collaborators

    • Chiesi Farmaceutici S.p.A.

    Investigators

    • Principal Investigator: David Bernstein, MD, Bernstein Clinical Research Center, LLC

    Study Documents (Full-Text)

    More Information

    Additional Information:

    Publications

    Responsible Party:
    Chiesi Farmaceutici S.p.A.
    ClinicalTrials.gov Identifier:
    NCT03084718
    Other Study ID Numbers:
    • CCD-05993AA3-01
    First Posted:
    Mar 21, 2017
    Last Update Posted:
    Dec 14, 2021
    Last Verified:
    Dec 1, 2021
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title Treatment A (CHF 718 pMDI 100 µg TDD) Treatment B (CHF 718 pMDI 400 µg TDD) Treatment C (CHF 718 pMDI 800 µg TDD) Treatment D (Placebo) Treatment E (QVAR^® 320 µg TDD)
    Arm/Group Description CHF 718 pMDI 100 μg Total Daily Dose (TDD), Dose 1; CHF 718 pMDI 50 μg/actuation: 1 inhalation twice daily (BID); TDD of BDP: 100 μg; CHF 718 pMDI 400 μg Total Daily Dose (TDD) 400 μg, Dose 2; CHF 718 pMDI 100 μg/actuation: 2 inhalations BID; TDD of BDP: 400 μg; CHF 718 pMDI Total Daily Dose (TDD) 800 μg, Dose 3; CHF 718 pMDI 100 μg/actuation: 4 inhalations BID; TDD of BDP: 800 μg; Placebo Control. CHF 718 pMDI matched Placebo: 4 inhalations 2 times a day (BID); Beclomethasone dipropionate Hydrofluoroalkane (HFA) (QVAR^®), Active Control Beclomethasone dipropionate Hydrofluoroalkane (HFA), Total Daily Dose (TDD) 320 µg; QVAR^® 80 μg/actuation: 2 inhalations BID;
    Period Title: Overall Study
    STARTED 120 120 122 124 124
    COMPLETED 109 110 110 110 120
    NOT COMPLETED 11 10 12 14 4

    Baseline Characteristics

    Arm/Group Title Treatment A Treatment B Treatment C Treatment D Treatment E Total
    Arm/Group Description CHF 718 pMDI 100 µg TDD CHF 718 pMDI 400 µg TDD CHF 718 pMDI 800 µg TDD Placebo Control Beclomethasone dipropionate Hydrofluoroalkane (HFA) (QVAR^®), Active Control Beclomethasone dipropionate Hydrofluoroalkane (HFA), Total Daily Dose (TDD) 320 µg; QVAR® 80 μg/actuation: 2 inhalations BID, Total Daily Dose (TDD) of BDP: 320 μg; Total of all reporting groups
    Overall Participants 118 116 120 124 124 602
    Age (Count of Participants)
    <=18 years
    0
    0%
    0
    0%
    0
    0%
    2
    1.6%
    0
    0%
    2
    0.3%
    Between 18 and 65 years
    97
    82.2%
    101
    87.1%
    107
    89.2%
    110
    88.7%
    105
    84.7%
    520
    86.4%
    >=65 years
    21
    17.8%
    15
    12.9%
    13
    10.8%
    12
    9.7%
    19
    15.3%
    80
    13.3%
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    50.2
    (13.58)
    48.1
    (14.38)
    48.2
    (13.83)
    45.4
    (16.17)
    48.8
    (14.24)
    48.1
    (14.52)
    Sex: Female, Male (Count of Participants)
    Female
    74
    62.7%
    77
    66.4%
    76
    63.3%
    72
    58.1%
    77
    62.1%
    376
    62.5%
    Male
    44
    37.3%
    39
    33.6%
    44
    36.7%
    52
    41.9%
    47
    37.9%
    226
    37.5%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    34
    28.8%
    34
    29.3%
    30
    25%
    40
    32.3%
    28
    22.6%
    166
    27.6%
    Not Hispanic or Latino
    84
    71.2%
    82
    70.7%
    90
    75%
    84
    67.7%
    96
    77.4%
    436
    72.4%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    1
    0.8%
    0
    0%
    1
    0.8%
    1
    0.8%
    0
    0%
    3
    0.5%
    Asian
    1
    0.8%
    1
    0.9%
    0
    0%
    0
    0%
    2
    1.6%
    4
    0.7%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    1
    0.9%
    0
    0%
    0
    0%
    0
    0%
    1
    0.2%
    Black or African American
    27
    22.9%
    23
    19.8%
    28
    23.3%
    21
    16.9%
    24
    19.4%
    123
    20.4%
    White
    78
    66.1%
    82
    70.7%
    84
    70%
    93
    75%
    93
    75%
    430
    71.4%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    11
    9.3%
    9
    7.8%
    7
    5.8%
    9
    7.3%
    5
    4%
    41
    6.8%
    Region of Enrollment (participants) [Number]
    United States
    118
    100%
    116
    100%
    120
    100%
    124
    100%
    124
    100%
    602
    100%
    Weight (kg) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [kg]
    83.2
    (14.9)
    77.9
    (15.6)
    79.5
    (14.5)
    80.5
    (15.5)
    78.8
    (14.7)
    80.0
    (15.1)
    Height (cm) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [cm]
    169.6
    (9.5)
    168.2
    (9.2)
    167.8
    (8.4)
    170.0
    (9.8)
    167.9
    (9.7)
    168.7
    (9.4)
    Body Mass Index (BMI) (kg/m^2) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [kg/m^2]
    28.9
    (4.0)
    27.4
    (4.3)
    28.2
    (4.3)
    27.8
    (4.6)
    27.9
    (4.0)
    28.0
    (4.3)
    Time since first diagnosis of asthma (months) [Median (Full Range) ]
    Median (Full Range) [months]
    372.3
    372.8
    373.9
    306.6
    385.0
    363.8
    Age at first diagnosis of asthma (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    17.4
    (18.3)
    17.3
    (18.1)
    17.2
    (17.7)
    17.4
    (18.0)
    16.5
    (15.8)
    17.2
    (17.6)
    Asthma medication category at study entry (Count of Participants)
    Short-Acting β2-agonist (SABA), (albuterol)
    115
    97.5%
    115
    99.1%
    117
    97.5%
    124
    100%
    121
    97.6%
    592
    98.3%
    Leukotriene Receptor Antagonist (LTRA)
    24
    20.3%
    7
    6%
    17
    14.2%
    18
    14.5%
    17
    13.7%
    83
    13.8%
    Theophylline
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Inhaled Corticosteroid (ICS) alone
    23
    19.5%
    26
    22.4%
    34
    28.3%
    36
    29%
    28
    22.6%
    147
    24.4%
    ICS/ Long-Acting β2-agonist (LABA), (free or fixed combination)
    93
    78.8%
    88
    75.9%
    86
    71.7%
    88
    71%
    94
    75.8%
    449
    74.6%
    ICS/Long-Acting Muscarinic Antagonist (LAMA), (free combination)
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    ICS/LABA/LAMA
    2
    1.7%
    2
    1.7%
    0
    0%
    0
    0%
    1
    0.8%
    5
    0.8%
    Short-Acting Muscarinic Antagonist (SAMA)
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    0.8%
    1
    0.2%
    SAMA/SABA
    0
    0%
    0
    0%
    1
    0.8%
    0
    0%
    0
    0%
    1
    0.2%
    ICS dose before study (Count of Participants)
    Low daily dose
    50
    42.4%
    50
    43.1%
    48
    40%
    54
    43.5%
    51
    41.1%
    253
    42%
    Medium daily dose
    68
    57.6%
    66
    56.9%
    72
    60%
    70
    56.5%
    73
    58.9%
    349
    58%
    Smoking habits (Count of Participants)
    Ex-smoker
    13
    11%
    18
    15.5%
    18
    15%
    21
    16.9%
    23
    18.5%
    93
    15.4%
    Non-smoker
    105
    89%
    98
    84.5%
    102
    85%
    103
    83.1%
    101
    81.5%
    509
    84.6%
    Duration of smoking (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    10.3
    (8.2)
    9.5
    (6.1)
    13.7
    (9.1)
    10.4
    (8.6)
    10.3
    (6.7)
    10.8
    (7.7)
    Number of pack-years (pack-years) [Median (Full Range) ]
    Median (Full Range) [pack-years]
    2.0
    2.7
    4.0
    3.5
    3.0
    3.0
    FEV1 at baseline (litres) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [litres]
    2.131
    (0.500)
    2.128
    (0.545)
    2.114
    (0.531)
    2.268
    (0.603)
    2.130
    (0.571)
    2.155
    (0.553)
    FEV1 (% predicted normal value) at baseline (percent of predicted normal value) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [percent of predicted normal value]
    68.5
    (8.4)
    68.3
    (7.8)
    68.4
    (8.7)
    68.6
    (8.0)
    68.8
    (8.9)
    68.5
    (8.4)
    FVC at baseline (litres) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [litres]
    3.159
    (0.971)
    3.164
    (0.931)
    3.101
    (0.855)
    3.415
    (1.020)
    3.197
    (0.851)
    3.209
    (0.931)
    FEV1/FVC at baseline (ratio of the parameters) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [ratio of the parameters]
    0.696
    (0.104)
    0.687
    (0.099)
    0.693
    (0.098)
    0.677
    (0.104)
    0.675
    (0.106)
    0.685
    (0.102)

    Outcome Measures

    1. Primary Outcome
    Title Pre-dose Morning FEV1 at Week 8 - Change From Baseline
    Description Change from baseline in pre-dose morning FEV1 (average of pre-dose FEV1 measurements) at Week 8. Spirometry, used to measure FEV1, was performed according to internationally accepted standards. Definitions: Baseline=Baseline values for pre-dose FEV1 were the average of measurements taken at V2 (Week 0) at 45 minutes and 15 minutes pre-dose; FEV1=Forced expiratory volume in the 1st second;
    Time Frame Baseline, Week 8

    Outcome Measure Data

    Analysis Population Description
    Intention to treat: All randomized patients who received at least one dose of the study treatment and with at least one available evaluation of efficacy after baseline (primary or secondary efficacy variables) after the baseline.
    Arm/Group Title Treatment A (CHF 718 pMDI 100 µg TDD) Treatment B (CHF 718 pMDI 400 µg TDD) Treatment C (CHF 718 pMDI 800 µg TDD) Treatment D (Placebo) Treatment E (QVAR^®, 320 µg TDD)
    Arm/Group Description CHF 718 pMDI 100 μg Total Daily Dose (TDD), Dose 1; CHF 718 pMDI 50 μg/actuation: 1 inhalation 2 times a day (BID); CHF 718 pMDI 400 μg Total Daily Dose (TDD) 400 μg, Dose 2; CHF 718 pMDI 100 μg/actuation: 2 inhalations BID; CHF 718 pMDI Total Daily Dose (TDD) 800 μg, Dose 3; CHF 718 pMDI 100 μg/actuation: 4 inhalations BID; Placebo Control. CHF 718 pMDI matched Placebo: 4 inhalations BID; Beclomethasone dipropionate hydrofluoroalkane (HFA) (QVAR^®), Active Control Beclomethasone dipropionate hydrofluoroalkane (HFA), Total Daily Dose (TDD) 320 µg; QVAR® 80 μg/actuation: 2 inhalations BID;
    Measure Participants 117 115 119 123 124
    Least Squares Mean (95% Confidence Interval) [Litres]
    0.021
    0.090
    0.070
    -0.023
    0.078
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.567
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.044
    Confidence Interval (2-Sided) 95%
    -0.052 to 0.140
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.015
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.113
    Confidence Interval (2-Sided) 95%
    0.018 to 0.209
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.059
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.093
    Confidence Interval (2-Sided) 95%
    -0.003 to 0.188
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.090
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.069
    Confidence Interval (2-Sided) 95%
    -0.011 to 0.150
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.231
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.049
    Confidence Interval (2-Sided) 95%
    -0.031 to 0.129
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.612
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.021
    Confidence Interval (2-Sided) 95%
    -0.101 to 0.059
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Comparison treatment groups were: Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.011
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.102
    Confidence Interval (2-Sided) 95%
    0.023 to 0.180
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    2. Secondary Outcome
    Title Pre-dose Morning FEV1 at Week 4 - Change From Baseline
    Description Change from baseline in pre-dose morning FEV1 at Week 4. Spirometry, used to measure FEV1, was performed according to internationally accepted standards. Definitions: Baseline=Baseline values for pre-dose FEV1 were the average of measurements taken at V2 (Week 0) at 45 minutes and 15 minutes pre-dose; FEV1=Forced expiratory volume in the 1st second;
    Time Frame Baseline, Week 4

    Outcome Measure Data

    Analysis Population Description
    Intention to treat: All randomized patients who received at least one dose of the study treatment and with at least one available evaluation of efficacy after baseline (primary or secondary efficacy variables) after the baseline.
    Arm/Group Title Treatment A (CHF 718 pMDI 100 µg TDD) Treatment B (CHF 718 pMDI 400 µg TDD) Treatment C (CHF 718 pMDI 800 µg TDD) Treatment D (Placebo) Treatment E (QVAR^®, 320 µg TDD)
    Arm/Group Description CHF 718 pMDI 100 μg Total Daily Dose (TDD), Dose 1; CHF 718 pMDI 50 μg/actuation: 1 inhalation twice daily (BID); CHF 718 pMDI 400 μg Total Daily Dose (TDD) 400 μg, Dose 2; CHF 718 pMDI 100 μg/actuation: 2 inhalations BID; CHF 718 pMDI Total Daily Dose (TDD) 800 μg, Dose 3; CHF 718 pMDI 100 μg/actuation: 4 inhalations BID; Placebo Control. CHF 718 pMDI matched Placebo: 4 inhalations 2 times a day (BID); Beclomethasone dipropionate hydrofluoroalkane (HFA) (QVAR^®), Active Control Beclomethasone dipropionate hydrofluoroalkane (HFA), Total Daily Dose (TDD) 320 µg; QVAR^® 80 μg/actuation: 2 inhalations BID;
    Measure Participants 117 115 119 123 124
    Least Squares Mean (95% Confidence Interval) [Litres]
    0.021
    0.120
    0.073
    0.003
    0.077
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.647
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.018
    Confidence Interval (2-Sided) 95%
    -0.060 to 0.097
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.004
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.118
    Confidence Interval (2-Sided) 95%
    0.039 to 0.196
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.076
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.071
    Confidence Interval (2-Sided) 95%
    -0.008 to 0.149
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.014
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.099
    Confidence Interval (2-Sided) 95%
    0.020 to 0.179
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.192
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.052
    Confidence Interval (2-Sided) 95%
    -0.026 to 0.131
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.244
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.047
    Confidence Interval (2-Sided) 95%
    -0.126 to 0.032
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Comparison treatment groups were: Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.060
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.074
    Confidence Interval (2-Sided) 95%
    -0.003 to 0.151
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    3. Secondary Outcome
    Title Pre-dose Morning FVC at Week 4 and 8 - Change From Baseline
    Description Change from baseline in pre-dose morning FVC at Week 4 and 8. Spirometry, used to measure FVC, was performed according to internationally accepted standards. Definitions: Baseline=Baseline values for pre-dose FVC were the average of measurements taken at V2 (Week 0) at 45 minutes and 15 minutes pre-dose; FVC=Forced vital capacity;
    Time Frame Baseline, Week 4, Week 8

    Outcome Measure Data

    Analysis Population Description
    Intention to treat: All randomized patients who received at least one dose of the study treatment and with at least one available evaluation of efficacy after baseline (primary or secondary efficacy variables) after the baseline.
    Arm/Group Title Treatment A (CHF 718 pMDI 100 µg TDD) Treatment B (CHF 718 pMDI 400 µg TDD) Treatment C (CHF 718 pMDI 800 µg TDD) Treatment D (Placebo) Treatment E (QVAR^®, 320 µg TDD)
    Arm/Group Description CHF 718 pMDI 100 μg Total Daily Dose (TDD), Dose 1; CHF 718 pMDI 50 μg/actuation: 1 inhalation twice daily (BID); CHF 718 pMDI 400 μg Total Daily Dose (TDD) 400 μg, Dose 2; CHF 718 pMDI 100 μg/actuation: 2 inhalations BID; CHF 718 pMDI Total Daily Dose (TDD) 800 μg, Dose 3; CHF 718 pMDI 100 μg/actuation: 4 inhalations BID; Placebo Control. CHF 718 pMDI matched Placebo: 4 inhalations 2 times a day (BID); Beclomethasone dipropionate hydrofluoroalkane (HFA) (QVAR^®), Active Control Beclomethasone dipropionate hydrofluoroalkane (HFA), Total Daily Dose (TDD) 320 µg; QVAR^® 80 μg/actuation: 2 inhalations BID;
    Measure Participants 117 115 119 123 124
    Week 4
    0.036
    0.099
    0.066
    0.023
    0.056
    Week 8
    0.014
    0.089
    0.036
    -0.016
    0.063
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Week 4 Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.780
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.012
    Confidence Interval (2-Sided) 95%
    -0.074 to 0.098
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Week 4 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.086
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.076
    Confidence Interval (2-Sided) 95%
    -0.011 to 0.162
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Week 4 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.324
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.043
    Confidence Interval (2-Sided) 95%
    -0.043 to 0.129
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Week 4 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.153
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.063
    Confidence Interval (2-Sided) 95%
    -0.024 to 0.150
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Week 4 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.482
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.031
    Confidence Interval (2-Sided) 95%
    -0.055 to 0.117
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Week 4 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.463
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.032
    Confidence Interval (2-Sided) 95%
    -0.119 to 0.054
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Week 4 Comparison treatment groups were: Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.453
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.032
    Confidence Interval (2-Sided) 95%
    -0.052 to 0.117
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Week 8 Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.533
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.030
    Confidence Interval (2-Sided) 95%
    -0.064 to 0.123
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Week 8 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.029
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.105
    Confidence Interval (2-Sided) 95%
    0.011 to 0.199
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Week 8 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.274
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.052
    Confidence Interval (2-Sided) 95%
    -0.041 to 0.146
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Week 8 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.119
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.075
    Confidence Interval (2-Sided) 95%
    -0.019 to 0.169
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Week 8 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.638
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.022
    Confidence Interval (2-Sided) 95%
    -0.071 to 0.116
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Week 8 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.274
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.052
    Confidence Interval (2-Sided) 95%
    -0.147 to 0.042
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Week 8 Comparison treatment groups were: Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.092
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.079
    Confidence Interval (2-Sided) 95%
    -0.013 to 0.171
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    4. Secondary Outcome
    Title Asthma Control Questionnaire-7© (ACQ-7) Score at Week 4 and Week 8 - Change From Baseline
    Description The ACQ consists of 7 items: 6 simple self-administered questions referring to asthma control and rescue treatment usage with 1 week recall, and a 7th item consisting of the percent (%) predicted FEV1 completed by clinic staff. Scoring uses a 7-point scale: 0 = "totally controlled" and 6 = "severely uncontrolled". The ACQ score was calculated as the average of all 7 items. Definitions: ACQ-7 score=Asthma Control Questionnaire-7©; Information regarding the American Thoracic Society ACQ questionnaire is also available at: https://member.thoracic.org/members/assemblies/assemblies/srn/questionaires/acq.php; Baseline ACQ-7 score = ACQ score recorded at V2 (Week 0) Day 1, before randomization; FEV1=Forced expiratory volume in the 1st second;
    Time Frame Baseline, Week 4, Week 8

    Outcome Measure Data

    Analysis Population Description
    Intention to treat: All randomized patients who received at least one dose of the study treatment and with at least one available evaluation of efficacy after baseline (primary or secondary efficacy variables) after the baseline.
    Arm/Group Title Treatment A (CHF 718 pMDI 100 µg TDD) Treatment B (CHF 718 pMDI 400 µg TDD) Treatment C (CHF 718 pMDI 800 µg TDD) Treatment D (Placebo) Treatment E (QVAR^®, 320 µg TDD)
    Arm/Group Description CHF 718 pMDI 100 μg Total Daily Dose (TDD), Dose 1; CHF 718 pMDI 50 μg/actuation: 1 inhalation twice daily (BID); CHF 718 pMDI 400 μg Total Daily Dose (TDD) 400 μg, Dose 2; CHF 718 pMDI 100 μg/actuation: 2 inhalations BID; CHF 718 pMDI Total Daily Dose (TDD) 800 μg, Dose 3; CHF 718 pMDI 100 μg/actuation: 4 inhalations BID; Placebo Control. CHF 718 pMDI matched Placebo: 4 inhalations 2 times a day (BID); Beclomethasone dipropionate hydrofluoroalkane (HFA) (QVAR^®), Active Control Beclomethasone dipropionate hydrofluoroalkane (HFA), Total Daily Dose (TDD) 320 µg; QVAR^® 80 μg/actuation: 2 inhalations BID;
    Measure Participants 117 115 119 123 124
    Week 4
    -0.43
    -0.53
    -0.49
    -0.27
    -0.47
    Week 8
    -0.53
    -0.58
    -0.66
    -0.43
    -0.64
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Week 4 Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.053
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.15
    Confidence Interval (2-Sided) 95%
    -0.31 to 0.00
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Week 4 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.26
    Confidence Interval (2-Sided) 95%
    -0.42 to -0.11
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Week 4 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.006
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.22
    Confidence Interval (2-Sided) 95%
    -0.37 to -0.06
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Week 4 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.176
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.11
    Confidence Interval (2-Sided) 95%
    -0.26 to 0.05
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Week 4 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.423
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.06
    Confidence Interval (2-Sided) 95%
    -0.22 to 0.09
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Week 4 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.574
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.04
    Confidence Interval (2-Sided) 95%
    -0.11 to 0.20
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Week 4 Comparison treatment groups were: Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.011
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.20
    Confidence Interval (2-Sided) 95%
    -0.35 to -0.05
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Week 8 Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.215
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.10
    Confidence Interval (2-Sided) 95%
    -0.27 to 0.06
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Week 8 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.070
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.15
    Confidence Interval (2-Sided) 95%
    -0.32 to 0.01
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Week 8 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.005
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.23
    Confidence Interval (2-Sided) 95%
    -0.40 to -0.07
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Week 8 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.566
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.05
    Confidence Interval (2-Sided) 95%
    -0.21 to 0.12
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Week 8 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.124
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.13
    Confidence Interval (2-Sided) 95%
    -0.29 to 0.04
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Week 8 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.336
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.08
    Confidence Interval (2-Sided) 95%
    -0.25 to 0.08
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Week 8 Comparison treatment groups were: Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.010
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.21
    Confidence Interval (2-Sided) 95%
    -0.37 to -0.05
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    5. Secondary Outcome
    Title Average Use of Rescue Medication - Change From Baseline
    Description Change from baseline in average use of rescue medication, during Inter-visit period 1, Inter-visit period 2, Entire treatment period. Definitions: Baseline=For the efficacy variable -- average use of rescue medication -- derived from the electronic diary (eDiary), baseline values were the averages recorded during the run-in period; Inter-visit period 1=Starts from the pm assessment of the Start of the Randomized Treatment Period to the am assessment at Visit 3 (Week 4); Inter-visit Period 2=Starts from the pm assessment of the day the subject returns to the clinic (Visit 3) to the am assessment of the date of Visit 4 (Week 8); Entire treatment period=Average of 8 weeks; am=morning pm=evening
    Time Frame Baseline (average of the 2-week run-in period); Inter-visit period 1 (average of the first 4 weeks); Inter-visit period 2 (average of the last 4 weeks); Entire treatment period (average of 8 weeks)

    Outcome Measure Data

    Analysis Population Description
    Intention to treat: All randomized patients who received at least one dose of the study treatment and with at least one available evaluation of efficacy after baseline (primary or secondary efficacy variables) after the baseline.
    Arm/Group Title Treatment A (CHF 718 pMDI 100 µg TDD) Treatment B (CHF 718 pMDI 400 µg TDD) Treatment C (CHF 718 pMDI 800 µg TDD) Treatment D (Placebo) Treatment E (QVAR^®, 320 µg TDD)
    Arm/Group Description CHF 718 pMDI 100 μg Total Daily Dose (TDD), Dose 1; CHF 718 pMDI 50 μg/actuation: 1 inhalation twice daily (BID); CHF 718 pMDI 400 μg Total Daily Dose (TDD) 400 μg, Dose 2; CHF 718 pMDI 100 μg/actuation: 2 inhalations BID; CHF 718 pMDI Total Daily Dose (TDD) 800 μg, Dose 3; CHF 718 pMDI 100 μg/actuation: 4 inhalations BID; Placebo Control. CHF 718 pMDI matched Placebo: 4 inhalations 2 times a day (BID); Beclomethasone dipropionate hydrofluoroalkane (HFA) (QVAR^®), Active Control Beclomethasone dipropionate hydrofluoroalkane (HFA), Total Daily Dose (TDD) 320 µg; QVAR^® 80 μg/actuation: 2 inhalations BID;
    Measure Participants 118 115 118 124 124
    Inter-visit period 1
    -0.11
    -0.27
    -0.14
    0.07
    -0.13
    Inter-visit period 2
    -0.12
    -0.35
    -0.25
    0.01
    -0.18
    Entire treatment period
    -0.11
    -0.31
    -0.20
    0.04
    -0.15
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.067
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.18
    Confidence Interval (2-Sided) 95%
    -0.38 to 0.01
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.34
    Confidence Interval (2-Sided) 95%
    -0.53 to -0.14
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.038
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.21
    Confidence Interval (2-Sided) 95%
    -0.40 to -0.01
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.130
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.15
    Confidence Interval (2-Sided) 95%
    -0.35 to 0.05
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.811
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.02
    Confidence Interval (2-Sided) 95%
    -0.22 to 0.17
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.202
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.13
    Confidence Interval (2-Sided) 95%
    -0.07 to 0.33
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.044
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.20
    Confidence Interval (2-Sided) 95%
    -0.39 to -0.01
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.283
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.13
    Confidence Interval (2-Sided) 95%
    -0.37 to 0.11
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.003
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.37
    Confidence Interval (2-Sided) 95%
    -0.60 to -0.13
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.027
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.27
    Confidence Interval (2-Sided) 95%
    -0.50 to -0.03
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.054
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.24
    Confidence Interval (2-Sided) 95%
    -0.48 to 0.00
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.258
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.14
    Confidence Interval (2-Sided) 95%
    -0.38 to 0.10
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.423
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.10
    Confidence Interval (2-Sided) 95%
    -0.14 to 0.34
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.111
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.19
    Confidence Interval (2-Sided) 95%
    -0.42 to 0.04
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Entire treatment period Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.135
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.16
    Confidence Interval (2-Sided) 95%
    -0.36 to 0.05
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 16
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Entire treatment period Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.35
    Confidence Interval (2-Sided) 95%
    -0.56 to -0.14
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 17
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Entire treatment period Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.024
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.24
    Confidence Interval (2-Sided) 95%
    -0.44 to -0.03
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 18
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.067
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.19
    Confidence Interval (2-Sided) 95%
    -0.40 to 0.01
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 19
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.444
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.08
    Confidence Interval (2-Sided) 95%
    -0.29 to 0.13
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 20
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.285
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.11
    Confidence Interval (2-Sided) 95%
    -0.09 to 0.32
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 21
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.060
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.19
    Confidence Interval (2-Sided) 95%
    -0.40 to 0.01
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    6. Secondary Outcome
    Title Percentage (%) of Rescue Medication-free Days - Change From Baseline
    Description Change from baseline in percentage (%) of rescue medication-free days. An increased value indicates improvement from baseline. Definitions: Baseline=For the efficacy variable -- percentage (%) of rescue medication-free days -- derived from the electronic diary (eDiary), baseline values were the averages/percentages recorded during the run-in period. Inter-visit period 1=Starts from the pm assessment of the Start of the Randomized Treatment Period to the am assessment at Visit 3 (Week 4); Inter-visit Period 2=Starts from the pm assessment of the day the subject returns to the clinic (Visit 3) to the am assessment of the date of Visit 4 (Week 8); Entire treatment period=Average of 8 weeks; am=morning pm=evening
    Time Frame Baseline (average of the 2-week run-in period); Inter-visit period 1 (average of the first 4 weeks); Inter-visit period 2 (average of the last 4 weeks); Entire treatment period (average of 8 weeks)

    Outcome Measure Data

    Analysis Population Description
    Intention to treat: All randomized patients who received at least one dose of the study treatment and with at least one available evaluation of efficacy after baseline (primary or secondary efficacy variables) after the baseline.
    Arm/Group Title Treatment A (CHF 718 pMDI 100 µg TDD) Treatment B (CHF 718 pMDI 400 µg TDD) Treatment C (CHF 718 pMDI 800 µg TDD) Treatment D (Placebo) Treatment E (QVAR^®, 320 µg TDD)
    Arm/Group Description CHF 718 pMDI 100 μg Total Daily Dose (TDD), Dose 1; CHF 718 pMDI 50 μg/actuation: 1 inhalation twice daily (BID); CHF 718 pMDI 400 μg Total Daily Dose (TDD) 400 μg, Dose 2; CHF 718 pMDI 100 μg/actuation: 2 inhalations BID; CHF 718 pMDI Total Daily Dose (TDD) 800 μg, Dose 3; CHF 718 pMDI 100 μg/actuation: 4 inhalations BID; Placebo Control. CHF 718 pMDI matched Placebo: 4 inhalations 2 times a day (BID); Beclomethasone dipropionate hydrofluoroalkane (HFA) (QVAR^®), Active Control Beclomethasone dipropionate hydrofluoroalkane (HFA), Total Daily Dose (TDD) 320 µg; QVAR^® 80 μg/actuation: 2 inhalations BID;
    Measure Participants 118 115 118 124 124
    Inter-visit period 1
    5.9
    9.0
    6.1
    1.5
    7.7
    Inter-visit period 2
    8.9
    13.1
    10.0
    4.1
    11.2
    Entire treatment period
    7.4
    11.1
    8.1
    2.8
    9.5
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.115
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 4.4
    Confidence Interval (2-Sided) 95%
    -1.1 to 10.0
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.008
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 7.6
    Confidence Interval (2-Sided) 95%
    2.0 to 13.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.099
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 4.7
    Confidence Interval (2-Sided) 95%
    -0.9 to 10.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.275
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 3.1
    Confidence Interval (2-Sided) 95%
    -2.5 to 8.8
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.943
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.2
    Confidence Interval (2-Sided) 95%
    -5.4 to 5.8
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.308
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.9
    Confidence Interval (2-Sided) 95%
    -8.6 to 2.7
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.024
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 6.3
    Confidence Interval (2-Sided) 95%
    0.8 to 11.7
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.129
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 4.8
    Confidence Interval (2-Sided) 95%
    -1.4 to 11.0
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.004
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 9.0
    Confidence Interval (2-Sided) 95%
    2.8 to 15.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.061
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 5.9
    Confidence Interval (2-Sided) 95%
    -0.3 to 12.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.180
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 4.3
    Confidence Interval (2-Sided) 95%
    -2.0 to 10.5
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.721
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 1.1
    Confidence Interval (2-Sided) 95%
    -5.1 to 7.4
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.328
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.1
    Confidence Interval (2-Sided) 95%
    -9.4 to 3.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.022
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 7.1
    Confidence Interval (2-Sided) 95%
    1.0 to 13.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Entire treatment period Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.101
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 4.6
    Confidence Interval (2-Sided) 95%
    -0.9 to 10.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 16
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Entire treatment period Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.003
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 8.3
    Confidence Interval (2-Sided) 95%
    2.8 to 13.9
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 17
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Entire treatment period Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.061
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 5.3
    Confidence Interval (2-Sided) 95%
    -0.2 to 10.8
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 18
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.196
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 3.7
    Confidence Interval (2-Sided) 95%
    -1.9 to 9.3
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 19
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.814
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.7
    Confidence Interval (2-Sided) 95%
    -4.9 to 6.3
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 20
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.291
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.0
    Confidence Interval (2-Sided) 95%
    -8.6 to 2.6
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 21
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.016
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 6.7
    Confidence Interval (2-Sided) 95%
    1.3 to 12.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    7. Secondary Outcome
    Title Overall Daily Asthma Symptoms Scores - Change From Baseline
    Description Overall daily asthma symptoms scores - Change From Baseline (am and pm). Subjects had to record asthma symptom score (overall symptoms, cough, wheeze, chest tightness and breathlessness) in the am (night-time asthma symptom score) and in the pm (daytime asthma symptom score). These data were collected in the subject's diary. Daily asthma symptoms score were performed separately for am score and pm score and also as a total, where the total equals the sum of the am and pm scores. Degree of asthma symptoms by score: 0=None, 1=Mild, 2=Moderate, and 3=Severe. Baseline=Averages values during the run-in period; Inter-visit period 1=Starts from the pm assessment of the Start of the Randomized Treatment Period to the am assessment at Visit 3 (Week 4); Inter-visit Period 2=Starts from the pm assessment of the day the subject returns to the clinic (Visit 3) to the am assessment of the date of Visit 4 (Week 8); Entire treatment period=Average of 8 weeks; am=morning pm=evening
    Time Frame Baseline (average of the 2-week run-in period); Inter-visit period 1 (average of the first 4 weeks); Inter-visit period 2 (average of the last 4 weeks); Entire treatment period (average of 8 weeks)

    Outcome Measure Data

    Analysis Population Description
    Intention to treat: All randomized patients who received at least one dose of the study treatment and with at least one available evaluation of efficacy after baseline (primary or secondary efficacy variables) after the baseline.
    Arm/Group Title Treatment A (CHF 718 pMDI 100 µg TDD) Treatment B (CHF 718 pMDI 400 µg TDD) Treatment C (CHF 718 pMDI 800 µg TDD) Treatment D (Placebo) Treatment E (QVAR^®, 320 µg TDD)
    Arm/Group Description CHF 718 pMDI 100 μg Total Daily Dose (TDD), Dose 1; CHF 718 pMDI 50 μg/actuation: 1 inhalation twice daily (BID); CHF 718 pMDI 400 μg Total Daily Dose (TDD) 400 μg, Dose 2; CHF 718 pMDI 100 μg/actuation: 2 inhalations BID; CHF 718 pMDI Total Daily Dose (TDD) 800 μg, Dose 3; CHF 718 pMDI 100 μg/actuation: 4 inhalations BID; Placebo Control. CHF 718 pMDI matched Placebo: 4 inhalations 2 times a day (BID); Beclomethasone dipropionate hydrofluoroalkane (HFA) (QVAR^®), Active Control Beclomethasone dipropionate hydrofluoroalkane (HFA), Total Daily Dose (TDD) 320 µg; QVAR^® 80 μg/actuation: 2 inhalations BID;
    Measure Participants 118 115 118 124 124
    Inter-visit period 1
    -0.1
    -0.1
    -0.1
    0.0
    -0.1
    Inter-visit period 2
    -0.1
    -0.1
    -0.1
    -0.0
    -0.1
    Entire treatment period
    -0.1
    -0.1
    -0.1
    0.0
    -0.1
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.1
    Confidence Interval (2-Sided) 95%
    -0.2 to -0.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.1
    Confidence Interval (2-Sided) 95%
    -0.2 to -0.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.1
    Confidence Interval (2-Sided) 95%
    -0.2 to -0.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.913
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.0
    Confidence Interval (2-Sided) 95%
    -0.1 to 0.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.871
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.0
    Confidence Interval (2-Sided) 95%
    -0.1 to 0.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.958
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.00
    Confidence Interval (2-Sided) 95%
    -0.1 to 0.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.1
    Confidence Interval (2-Sided) 95%
    -0.2 to -0.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.010
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.1
    Confidence Interval (2-Sided) 95%
    -0.2 to -0.0
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.011
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.1
    Confidence Interval (2-Sided) 95%
    -0.2 to -0.0
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.1
    Confidence Interval (2-Sided) 95%
    -0.2 to -0.0
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.996
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.0
    Confidence Interval (2-Sided) 95%
    -0.1 to 0.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.632
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.0
    Confidence Interval (2-Sided) 95%
    -0.1 to 0.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.630
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.0
    Confidence Interval (2-Sided) 95%
    -0.1 to 0.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.1
    Confidence Interval (2-Sided) 95%
    -0.2 to -0.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Entire treatment period Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.1
    Confidence Interval (2-Sided) 95%
    -0.2 to -0.0
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 16
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Entire treatment period Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.1
    Confidence Interval (2-Sided) 95%
    -0.2 to -0.0
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 17
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Entire treatment period Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.1
    Confidence Interval (2-Sided) 95%
    -0.2 to -0.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 18
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.960
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.0
    Confidence Interval (2-Sided) 95%
    -0.1 to 0.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 19
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.725
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.0
    Confidence Interval (2-Sided) 95%
    -0.1 to 0.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 20
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.764
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.0
    Confidence Interval (2-Sided) 95%
    -0.1 to 0.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 21
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.1
    Confidence Interval (2-Sided) 95%
    -0.2 to -0.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    8. Secondary Outcome
    Title Percentage (%) of Asthma Symptoms-free Days - Change From Baseline
    Description Change from baseline in Percentage (%) of asthma symptoms-free days. Asthma symptoms-free days is the number of days with a total asthma score=0 (daily morning plus evening asthma score). Subjects recorded asthma symptom score as described in the Outcome measure #7. Definitions: Baseline=For the efficacy variables -- daytime and night-time asthma symptom scores -- derived from the eDiary, baseline values were the averages/percentages recorded during the run-in period; Inter-visit period 1=Starts from the pm assessment of the Start of the Randomized Treatment Period to the am assessment at Visit 3 (Week 4); Inter-visit Period 2=Starts from the pm assessment of the day the subject returns to the clinic (Visit 3) to the am assessment of the date of Visit 4 (Week 8); Entire treatment period=Average of 8 weeks; am=morning pm=evening
    Time Frame Baseline (average of the 2-week run-in period); Inter-visit period 1 (average of the first 4 weeks); Inter-visit period 2 (average of the last 4 weeks); Entire treatment period (average of 8 weeks)

    Outcome Measure Data

    Analysis Population Description
    Intention to treat: All randomized patients who received at least one dose of the study treatment and with at least one available evaluation of efficacy after baseline (primary or secondary efficacy variables) after the baseline.
    Arm/Group Title Treatment A (CHF 718 pMDI 100 µg TDD) Treatment B (CHF 718 pMDI 400 µg TDD) Treatment C (CHF 718 pMDI 800 µg TDD) Treatment D (Placebo) Treatment E (QVAR^®, 320 µg TDD)
    Arm/Group Description CHF 718 pMDI 100 μg Total Daily Dose (TDD), Dose 1; CHF 718 pMDI 50 μg/actuation: 1 inhalation twice daily (BID); CHF 718 pMDI 400 μg Total Daily Dose (TDD) 400 μg, Dose 2; CHF 718 pMDI 100 μg/actuation: 2 inhalations BID; CHF 718 pMDI Total Daily Dose (TDD) 800 μg, Dose 3; CHF 718 pMDI 100 μg/actuation: 4 inhalations BID; Placebo Control. CHF 718 pMDI matched Placebo: 4 inhalations 2 times a day (BID); Beclomethasone dipropionate hydrofluoroalkane (HFA) (QVAR^®), Active Control Beclomethasone dipropionate hydrofluoroalkane (HFA), Total Daily Dose (TDD) 320 µg; QVAR^® 80 μg/actuation: 2 inhalations BID;
    Measure Participants 118 115 118 124 124
    Inter-visit period 1
    8.6
    10.5
    10.1
    5.7
    12.8
    Inter-visit period 2
    16.4
    17.0
    17.2
    11.7
    21.2
    Entire treatment period
    12.5
    13.8
    13.6
    8.7
    17.0
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.316
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 2.9
    Confidence Interval (2-Sided) 95%
    -2.8 to 8.7
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.097
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 4.9
    Confidence Interval (2-Sided) 95%
    -0.9 to 10.7
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.128
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 4.4
    Confidence Interval (2-Sided) 95%
    -1.3 to 10.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.511
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 2.0
    Confidence Interval (2-Sided) 95%
    -3.9 to 7.8
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.610
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 1.5
    Confidence Interval (2-Sided) 95%
    -4.3 to 7.3
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.882
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.4
    Confidence Interval (2-Sided) 95%
    -6.3 to 5.4
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.013
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 7.2
    Confidence Interval (2-Sided) 95%
    1.5 to 12.9
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.219
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 4.7
    Confidence Interval (2-Sided) 95%
    -2.8 to 12.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.166
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 5.3
    Confidence Interval (2-Sided) 95%
    -2.2 to 12.8
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.151
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 5.5
    Confidence Interval (2-Sided) 95%
    -2.0 to 12.9
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.871
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.6
    Confidence Interval (2-Sided) 95%
    -6.9 to 8.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.837
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.8
    Confidence Interval (2-Sided) 95%
    -6.8 to 8.3
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.966
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.2
    Confidence Interval (2-Sided) 95%
    -7.4 to 7.7
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.012
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 9.5
    Confidence Interval (2-Sided) 95%
    2.1 to 16.9
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Entire treatment period Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.233
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 3.8
    Confidence Interval (2-Sided) 95%
    -2.5 to 10.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 16
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Entire treatment period Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.113
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 5.1
    Confidence Interval (2-Sided) 95%
    -1.2 to 11.4
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 17
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Entire treatment period Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.120
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 5.0
    Confidence Interval (2-Sided) 95%
    -1.3 to 11.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 18
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.691
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 1.3
    Confidence Interval (2-Sided) 95%
    -5.1 to 7.6
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 19
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.722
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 1.2
    Confidence Interval (2-Sided) 95%
    -5.2 to 7.5
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 20
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.966
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.1
    Confidence Interval (2-Sided) 95%
    -6.5 to 6.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 21
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.008
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 8.3
    Confidence Interval (2-Sided) 95%
    2.2 to 14.5
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    9. Secondary Outcome
    Title Percentage (%) of Asthma Control Days - Change From Baseline
    Description Change from baseline in percentage (%) of asthma control days, during Inter-visit period 1, Inter-visit period 2, Entire treatment period. This outcome measure was calculated according to the following definition: Days with a total daily morning + evening asthma score = 0 AND No rescue medication use. Definitions: Baseline=For the efficacy variable -- asthma control days -- derived from the eDiary, baseline values were the averages/percentages recorded during the run-in period; Inter-visit period 1=Starts from the pm assessment of the Start of the Randomized Treatment Period to the am assessment at Visit 3 (Week 4); Inter-visit Period 2=Starts from the pm assessment of the day the subject returns to the clinic (Visit 3) to the am assessment of the date of Visit 4 (Week 8); Entire treatment period=Average of 8 weeks; am=morning pm=evening
    Time Frame Baseline (average of the 2-week run-in period); Inter-visit period 1 (average of the first 4 weeks); Inter-visit period 2 (average of the last 4 weeks); Entire treatment period (average of 8 weeks)

    Outcome Measure Data

    Analysis Population Description
    Intention to treat: All randomized patients who received at least one dose of the study treatment and with at least one available evaluation of efficacy after baseline (primary or secondary efficacy variables) after the baseline.
    Arm/Group Title Treatment A (CHF 718 pMDI 100 µg TDD) Treatment B (CHF 718 pMDI 400 µg TDD) Treatment C (CHF 718 pMDI 800 µg TDD) Treatment D (Placebo) Treatment E (QVAR^®, 320 µg TDD)
    Arm/Group Description CHF 718 pMDI 100 μg Total Daily Dose (TDD), Dose 1; CHF 718 pMDI 50 μg/actuation: 1 inhalation twice daily (BID); CHF 718 pMDI 400 μg Total Daily Dose (TDD) 400 μg, Dose 2; CHF 718 pMDI 100 μg/actuation: 2 inhalations BID; CHF 718 pMDI Total Daily Dose (TDD) 800 μg, Dose 3; CHF 718 pMDI 100 μg/actuation: 4 inhalations BID; Placebo Control. CHF 718 pMDI matched Placebo: 4 inhalations 2 times a day (BID); Beclomethasone dipropionate hydrofluoroalkane (HFA) (QVAR^®), Active Control Beclomethasone dipropionate hydrofluoroalkane (HFA), Total Daily Dose (TDD) 320 µg; QVAR^® 80 μg/actuation: 2 inhalations BID;
    Measure Participants 118 115 118 124 124
    Inter-visit period 1
    7.3
    10.6
    10.4
    5.0
    12.8
    Inter-visit period 2
    14.3
    16.3
    17.5
    10.5
    20.63
    Entire treatment period
    10.8
    13.4
    13.9
    7.7
    16.7
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.426
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 2.3
    Confidence Interval (2-Sided) 95%
    -3.4 to 7.9
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.055
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 5.6
    Confidence Interval (2-Sided) 95%
    -0.1 to 11.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.059
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 5.4
    Confidence Interval (2-Sided) 95%
    -0.2 to 11.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.263
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 3.3
    Confidence Interval (2-Sided) 95%
    -2.5 to 9.0
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.280
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 3.1
    Confidence Interval (2-Sided) 95%
    -2.6 to 8.8
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.965
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.1
    Confidence Interval (2-Sided) 95%
    -5.9 to 5.6
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Inter-visit period 1 Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.007
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 7.8
    Confidence Interval (2-Sided) 95%
    2.2 to 13.3
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.308
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 3.8
    Confidence Interval (2-Sided) 95%
    -3.5 to 11.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.124
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 5.8
    Confidence Interval (2-Sided) 95%
    -1.6 to 13.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.063
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 7.0
    Confidence Interval (2-Sided) 95%
    -0.4 to 14.3
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.602
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 2.0
    Confidence Interval (2-Sided) 95%
    -5.5 to 9.4
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.402
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 3.2
    Confidence Interval (2-Sided) 95%
    -4.3 to 10.6
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.753
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 1.2
    Confidence Interval (2-Sided) 95%
    -6.3 to 8.6
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.006
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 10.2
    Confidence Interval (2-Sided) 95%
    2.9 to 17.4
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Entire treatment period Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.331
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 3.1
    Confidence Interval (2-Sided) 95%
    -3.1 to 9.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 16
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Entire treatment period Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.073
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 5.7
    Confidence Interval (2-Sided) 95%
    -0.5 to 11.9
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 17
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Entire treatment period Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.048
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 6.2
    Confidence Interval (2-Sided) 95%
    0.1 to 12.4
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 18
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.410
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 2.6
    Confidence Interval (2-Sided) 95%
    -3.6 to 8.9
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 19
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.320
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 3.2
    Confidence Interval (2-Sided) 95%
    -3.1 to 9.4
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 20
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.867
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.5
    Confidence Interval (2-Sided) 95%
    -5.7 to 6.8
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 21
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.004
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 9.0
    Confidence Interval (2-Sided) 95%
    2.9 to 15.0
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    10. Secondary Outcome
    Title Pre-dose Peak Expiratory Flow (PEF) (L/Min) (Morning and Evening) - Change From Baseline
    Description Change from baseline in pre-dose Peak Expiratory Flow (PEF) (Liters/min), morning and evening measurements. Definitions: Baseline=For the efficacy variable -- morning and evening PEF -- derived from the eDiary, the baseline values were the averages/percentages recorded during the run-in period; PEF=evening peak expiratory flow; Inter-visit period 1=Starts from the pm assessment of the Start of the Randomized Treatment Period to the am assessment at Visit 3 (Week 4); Inter-visit Period 2=Starts from the pm assessment of the day the subject returns to the clinic (Visit 3) to the am assessment of the date of Visit 4 (Week 8); Entire treatment period=Average of 8 weeks; am=morning pm=evening
    Time Frame Baseline (average of the 2-week run-in period); Inter-visit period 1 (average of the first 4 weeks); Inter-visit period 2 (average of the last 4 weeks); Entire treatment period (average of 8 weeks)

    Outcome Measure Data

    Analysis Population Description
    Intention to treat: All randomized patients who received at least one dose of the study treatment and with at least one available evaluation of efficacy after baseline (primary or secondary efficacy variables) after the baseline.
    Arm/Group Title Treatment A (CHF 718 pMDI 100 µg TDD) Treatment B (CHF 718 pMDI 400 µg TDD) Treatment C (CHF 718 pMDI 800 µg TDD) Treatment D (Placebo) Treatment E (QVAR^®, 320 µg TDD)
    Arm/Group Description CHF 718 pMDI 100 μg Total Daily Dose (TDD), Dose 1; CHF 718 pMDI 50 μg/actuation: 1 inhalation twice daily (BID); CHF 718 pMDI 400 μg Total Daily Dose (TDD) 400 μg, Dose 2; CHF 718 pMDI 100 μg/actuation: 2 inhalations BID; CHF 718 pMDI Total Daily Dose (TDD) 800 μg, Dose 3; CHF 718 pMDI 100 μg/actuation: 4 inhalations BID; Placebo Control. CHF 718 pMDI matched Placebo: 4 inhalations 2 times a day (BID); Beclomethasone dipropionate hydrofluoroalkane (HFA) (QVAR^®), Active Control Beclomethasone dipropionate hydrofluoroalkane (HFA), Total Daily Dose (TDD) 320 µg; QVAR^® 80 μg/actuation: 2 inhalations BID;
    Measure Participants 116 114 115 121 119
    Inter-visit period 1
    -2
    -3
    -4
    -6
    0
    Inter-visit period 2
    -4
    3
    -5
    -4
    2
    Entire treatment period
    -3
    0.3
    -4
    -4.9
    1
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.260
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 4
    Confidence Interval (2-Sided) 95%
    -3.2 to 11.9
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.387
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 3
    Confidence Interval (2-Sided) 95%
    -4.2 to 10.9
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.574
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 2
    Confidence Interval (2-Sided) 95%
    -5.4 to 9.7
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.799
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1
    Confidence Interval (2-Sided) 95%
    -8.6 to 6.7
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.577
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2
    Confidence Interval (2-Sided) 95%
    -9.8 to 5.5
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 1 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.764
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1
    Confidence Interval (2-Sided) 95%
    -8.8 to 6.5
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Inter-visit period 1 Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.097
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 6
    Confidence Interval (2-Sided) 95%
    -1.1 to 13.8
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.908
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1
    Confidence Interval (2-Sided) 95%
    -9.9 to 8.8
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.135
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 7
    Confidence Interval (2-Sided) 95%
    -2.2 to 16.5
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.786
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1
    Confidence Interval (2-Sided) 95%
    -10.7 to 8.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.109
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 8
    Confidence Interval (2-Sided) 95%
    -1.7 to 17.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.876
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1
    Confidence Interval (2-Sided) 95%
    -10.1 to 8.7
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.080
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -8
    Confidence Interval (2-Sided) 95%
    -17.9 to 1.0
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Inter-visit period 2 Comparison treatment groups were: Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.202
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 6
    Confidence Interval (2-Sided) 95%
    -3.2 to 15.3
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment D (Placebo)
    Comments Entire treatment period Comparison treatment groups were: Treatment A (CHF 718 pMDI 100 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.635
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 2
    Confidence Interval (2-Sided) 95%
    -5.9 to 9.7
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 16
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment D (Placebo)
    Comments Entire treatment period Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.191
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 5
    Confidence Interval (2-Sided) 95%
    -2.6 to 13.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 17
    Statistical Analysis Overview Comparison Group Selection Treatment C (CHF 718 pMDI 800 µg TDD), Treatment D (Placebo)
    Comments Entire treatment period Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.914
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.4
    Confidence Interval (2-Sided) 95%
    -7.4 to 8.3
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 18
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment B (CHF 718 pMDI 400 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment B (CHF 718 pMDI 400 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.407
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 3
    Confidence Interval (2-Sided) 95%
    -4.6 to 11.3
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 19
    Statistical Analysis Overview Comparison Group Selection Treatment A (CHF 718 pMDI 100 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment A (CHF 718 pMDI 100 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.718
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1
    Confidence Interval (2-Sided) 95%
    -9.4 to 6.4
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 20
    Statistical Analysis Overview Comparison Group Selection Treatment B (CHF 718 pMDI 400 µg TDD), Treatment C (CHF 718 pMDI 800 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment C (CHF 718 pMDI 800 µg TDD) vs Treatment B (CHF 718 pMDI 400 µg TDD)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.235
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5
    Confidence Interval (2-Sided) 95%
    -12.7 to 3.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 21
    Statistical Analysis Overview Comparison Group Selection Treatment D (Placebo), Treatment E (QVAR^®, 320 µg TDD)
    Comments Entire treatment period Comparison treatment groups were: Treatment E (QVAR^®, 320 µg TDD) vs Treatment D (Placebo)
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.118
    Comments
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 6
    Confidence Interval (2-Sided) 95%
    -1.6 to 13.9
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    11. Secondary Outcome
    Title Vital Signs (Systolic and Diastolic Blood Pressure) - Change From Baseline
    Description Vital signs (systolic and diastolic blood pressure) at baseline, week 4, and week 8. Change from baseline. Definitions: Baseline=Baseline values were defined at visit 2 (Week 0) pre-dose; DBP=Diastolic blood pressure; SBP=Systolic blood pressure;
    Time Frame Baseline, Week 4, Week 8

    Outcome Measure Data

    Analysis Population Description
    Safety population: All randomized patients who received at least one dose of study treatment.
    Arm/Group Title Treatment A (CHF 718 pMDI 100 µg TDD) Treatment B (CHF 718 pMDI 400 µg TDD) Treatment C (CHF 718 pMDI 800 µg TDD) Treatment D (Placebo) Treatment E (QVAR^®, 320 µg TDD)
    Arm/Group Description CHF 718 pMDI 100 μg Total Daily Dose (TDD), Dose 1; CHF 718 pMDI 50 μg/actuation: 1 inhalation twice daily (BID); CHF 718 pMDI 400 μg Total Daily Dose (TDD) 400 μg, Dose 2; CHF 718 pMDI 100 μg/actuation: 2 inhalations BID; CHF 718 pMDI Total Daily Dose (TDD) 800 μg, Dose 3; CHF 718 pMDI 100 μg/actuation: 4 inhalations BID; Placebo Control. CHF 718 pMDI matched Placebo: 4 inhalations 2 times a day (BID); Beclomethasone dipropionate hydrofluoroalkane (HFA) (QVAR^®), Active Control Beclomethasone dipropionate hydrofluoroalkane (HFA), Total Daily Dose (TDD) 320 µg; QVAR^® 80 μg/actuation: 2 inhalations BID;
    Measure Participants 117 115 119 124 124
    SBP, Week 4
    -0.4
    1.0
    0.5
    0.6
    0.0
    SBP, Week 8
    1.0
    2.5
    0.8
    0.2
    -0.9
    DBP, Week 4
    -0.1
    0.2
    -0.8
    0.1
    0.8
    DBP, Week 8
    0.8
    1.0
    0.3
    -0.5
    1.2
    12. Secondary Outcome
    Title 12-lead ECG Parameters - Heart Rate - Change From Baseline
    Description 12-lead electrocardiogram (12-lead ECG) parameter - heart rate (HR) was measured at baseline (Day 1) and Week 8. Change from baseline. Definitions: Baseline=Baseline values were defined at visit 2 (Week 0) pre-dose; bpm=Beats per minute;
    Time Frame Baseline, Week 8

    Outcome Measure Data

    Analysis Population Description
    Safety population: All randomized patients who received at least one dose of study treatment.
    Arm/Group Title Treatment A (CHF 718 pMDI 100 µg TDD) Treatment B (CHF 718 pMDI 400 µg TDD) Treatment C (CHF 718 pMDI 800 µg TDD) Treatment D (Placebo) Treatment E (QVAR^®, 320 µg TDD)
    Arm/Group Description CHF 718 pMDI 100 μg Total Daily Dose (TDD), Dose 1; CHF 718 pMDI 50 μg/actuation: 1 inhalation twice daily (BID); CHF 718 pMDI 400 μg Total Daily Dose (TDD) 400 μg, Dose 2; CHF 718 pMDI 100 μg/actuation: 2 inhalations BID; CHF 718 pMDI Total Daily Dose (TDD) 800 μg, Dose 3; CHF 718 pMDI 100 μg/actuation: 4 inhalations BID; Placebo Control. CHF 718 pMDI matched Placebo: 4 inhalations 2 times a day (BID); Beclomethasone dipropionate hydrofluoroalkane (HFA) (QVAR^®), Active Control Beclomethasone dipropionate hydrofluoroalkane (HFA), Total Daily Dose (TDD) 320 µg; QVAR^® 80 μg/actuation: 2 inhalations BID;
    Measure Participants 116 115 116 121 122
    Mean (Full Range) [bpm]
    0.6
    0.2
    0.4
    1.2
    -0.4
    13. Secondary Outcome
    Title 12-lead ECG Parameters - PR, QRS, QTcF - Change From Baseline.
    Description 12-lead electrocardiogram (12-lead ECG) parameters - PR, QRS, QTcF intervals - were measured at baseline (Day 1) and Week 8. Changes from baseline. Definitions: Baseline=Baseline values were defined at visit 2 (Week 0); QTcF=Fridericia-corrected QT interval; msec=Millisecond;
    Time Frame Baseline, Week 8

    Outcome Measure Data

    Analysis Population Description
    Safety population: All randomized patients who received at least one dose of study treatment.
    Arm/Group Title Treatment A (CHF 718 pMDI 100 µg TDD) Treatment B (CHF 718 pMDI 400 µg TDD) Treatment C (CHF 718 pMDI 800 µg TDD) Treatment D (Placebo) Treatment E (QVAR^®, 320 µg TDD)
    Arm/Group Description CHF 718 pMDI 100 μg Total Daily Dose (TDD), Dose 1; CHF 718 pMDI 50 μg/actuation: 1 inhalation twice daily (BID); CHF 718 pMDI 400 μg Total Daily Dose (TDD) 400 μg, Dose 2; CHF 718 pMDI 100 μg/actuation: 2 inhalations BID; CHF 718 pMDI Total Daily Dose (TDD) 800 μg, Dose 3; CHF 718 pMDI 100 μg/actuation: 4 inhalations BID; Placebo Control. CHF 718 pMDI matched Placebo: 4 inhalations 2 times a day (BID); Beclomethasone dipropionate hydrofluoroalkane (HFA) (QVAR^®), Active Control Beclomethasone dipropionate hydrofluoroalkane (HFA), Total Daily Dose (TDD) 320 µg; QVAR^® 80 μg/actuation: 2 inhalations BID;
    Measure Participants 119 120 121 124 124
    PR
    -2.6
    1.5
    -1.9
    -1.3
    1.0
    QRS
    0.1
    -1.3
    0.9
    -0.5
    -0.3
    QTcF
    1.6
    0.7
    0.7
    4.6
    1.2
    14. Secondary Outcome
    Title 12-lead ECG Parameters - Prolonged QTcF - Change From Baseline
    Description Number of participants with prolonged QTcF. Change from baseline. Baseline=Baseline values were defined at visit 2 (Week 0) pre-dose; QTcF=Fridericia-corrected QT interval;
    Time Frame Baseline, Week 8

    Outcome Measure Data

    Analysis Population Description
    Safety population: All randomized patients who received at least one dose of study treatment.
    Arm/Group Title Treatment A (CHF 718 pMDI 100 µg TDD) Treatment B (CHF 718 pMDI 400 µg TDD) Treatment C (CHF 718 pMDI 800 µg TDD) Treatment D (Placebo) Treatment E (QVAR^®, 320 µg TDD)
    Arm/Group Description CHF 718 pMDI 100 μg Total Daily Dose (TDD), Dose 1; CHF 718 pMDI 50 μg/actuation: 1 inhalation twice daily (BID); CHF 718 pMDI 400 μg Total Daily Dose (TDD) 400 μg, Dose 2; CHF 718 pMDI 100 μg/actuation: 2 inhalations BID; CHF 718 pMDI Total Daily Dose (TDD) 800 μg, Dose 3; CHF 718 pMDI 100 μg/actuation: 4 inhalations BID; Placebo Control. CHF 718 pMDI matched Placebo: 4 inhalations 2 times a day (BID); Beclomethasone dipropionate hydrofluoroalkane (HFA) (QVAR^®), Active Control Beclomethasone dipropionate hydrofluoroalkane (HFA), Total Daily Dose (TDD) 320 µg; QVAR^® 80 μg/actuation: 2 inhalations BID;
    Measure Participants 119 120 121 124 124
    QTcF > 30 msec
    6
    5.1%
    4
    3.4%
    4
    3.3%
    9
    7.3%
    3
    2.4%
    QTcF > 60 msec
    1
    0.8%
    1
    0.9%
    0
    0%
    2
    1.6%
    1
    0.8%
    15. Secondary Outcome
    Title 24-hr Urine Free Cortisol - Change From Baseline
    Description 24-hr Urinary Free Cortisol - Change From Baseline. For the evaluation of the 24-hr Urine-Free cortisol excretion, 24-hour urine samples were collected. Urine-free cortisol was measured using liquid chromatography-tandem mass spectrometry (LC-MS/MS). Definitions: Baseline=Baseline values were defined at visit 2 (Week 0) pre-dose;
    Time Frame Baseline, Week 8

    Outcome Measure Data

    Analysis Population Description
    Safety population: All randomized patients who received at least one dose of study treatment.
    Arm/Group Title Treatment A (CHF 718 pMDI 100 µg TDD) Treatment B (CHF 718 pMDI 400 µg TDD) Treatment C (CHF 718 pMDI 800 µg TDD) Treatment D (Placebo) Treatment E (QVAR^®, 320 µg TDD)
    Arm/Group Description CHF 718 pMDI 100 μg Total Daily Dose (TDD), Dose 1; CHF 718 pMDI 50 μg/actuation: 1 inhalation twice daily (BID); CHF 718 pMDI 400 μg Total Daily Dose (TDD) 400 μg, Dose 2; CHF 718 pMDI 100 μg/actuation: 2 inhalations BID; CHF 718 pMDI Total Daily Dose (TDD) 800 μg, Dose 3; CHF 718 pMDI 100 μg/actuation: 4 inhalations BID; Placebo Control. CHF 718 pMDI matched Placebo: 4 inhalations 2 times a day (BID); Beclomethasone dipropionate hydrofluoroalkane (HFA) (QVAR^®), Active Control Beclomethasone dipropionate hydrofluoroalkane (HFA), Total Daily Dose (TDD) 320 µg; QVAR^® 80 μg/actuation: 2 inhalations BID;
    Measure Participants 99 108 99 103 111
    Median (Full Range) [nmol/day]
    -3.60
    -5.35
    -4.10
    1.40
    -3.50
    16. Secondary Outcome
    Title 24-hr Creatinine - Change From Baseline.
    Description 24-hr Creatinine - Change From Baseline. For the evaluation of the 24-hr creatinine excretion, 24-hour urine sample were collected. Creatinine was measured using liquid chromatography-tandem mass spectrometry (LC-MS/MS). Definitions: Baseline=Baseline values were defined at visit 2 (Week 0) pre-dose;
    Time Frame Baseline, Week 8

    Outcome Measure Data

    Analysis Population Description
    Safety population: All randomized patients who received at least one dose of study treatment.
    Arm/Group Title Treatment A (CHF 718 pMDI 100 µg TDD) Treatment B (CHF 718 pMDI 400 µg TDD) Treatment C (CHF 718 pMDI 800 µg TDD) Treatment D (Placebo) Treatment E (QVAR^®, 320 µg TDD)
    Arm/Group Description CHF 718 pMDI 100 μg Total Daily Dose (TDD), Dose 1; CHF 718 pMDI 50 μg/actuation: 1 inhalation twice daily (BID); CHF 718 pMDI 400 μg Total Daily Dose (TDD) 400 μg, Dose 2; CHF 718 pMDI 100 μg/actuation: 2 inhalations BID; CHF 718 pMDI Total Daily Dose (TDD) 800 μg, Dose 3; CHF 718 pMDI 100 μg/actuation: 4 inhalations BID; Placebo Control. CHF 718 pMDI matched Placebo: 4 inhalations 2 times a day (BID); Beclomethasone dipropionate hydrofluoroalkane (HFA) (QVAR^®), Active Control Beclomethasone dipropionate hydrofluoroalkane (HFA), Total Daily Dose (TDD) 320 µg; QVAR^® 80 μg/actuation: 2 inhalations BID;
    Measure Participants 101 110 104 107 111
    Median (Full Range) [umol/mol]
    0.00
    0.00
    0.00
    0.00
    0.00

    Adverse Events

    Time Frame From the first intake of study medication (visit 2, Week 0) until study completion (Visit 4, week 8) or discontinuation from the study.
    Adverse Event Reporting Description The safety population was used for the evaluation of adverse event (AEs). Safety population=All randomized patients who received at least one dose of study treatment. The overall number of randomized participants in the study=610 (Participant Flow). Nevertheless, the Safety population=608 patients; 2 patients (1 in Group A and 1 in Group C) were excluded because they were mistakenly randomized; they failed to meet inclusion criterion #4 and were withdrawn prior to study drug administration.
    Arm/Group Title Treatment A (CHF 718 pMDI 100 µg TDD) Treatment B (CHF 718 pMDI 400 µg TDD) Treatment C (CHF 718 pMDI 800 µg TDD) Treatment D (Placebo) Treatment E (QVAR^®, 320 µg TDD)
    Arm/Group Description CHF 718 pMDI 100 μg Total Daily Dose (TDD), Dose 1; CHF 718 pMDI 50 μg/actuation: 1 inhalation twice daily (BID); CHF 718 pMDI 400 μg Total Daily Dose (TDD) 400 μg, Dose 2; CHF 718 pMDI 100 μg/actuation: 2 inhalations BID; CHF 718 pMDI Total Daily Dose (TDD) 800 μg, Dose 3; CHF 718 pMDI 100 μg/actuation: 4 inhalations BID; Placebo Control, Placebo; CHF 718 pMDI matched Placebo: 4 inhalations BID; QVAR^®, : Active Control Beclomethasone dipropionate hydrofluoroalkane (HFA), Total Daily Dose (TDD) 320 µg; QVAR® 80 μg/actuation: 2 inhalations BID;
    All Cause Mortality
    Treatment A (CHF 718 pMDI 100 µg TDD) Treatment B (CHF 718 pMDI 400 µg TDD) Treatment C (CHF 718 pMDI 800 µg TDD) Treatment D (Placebo) Treatment E (QVAR^®, 320 µg TDD)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/119 (0%) 1/120 (0.8%) 0/121 (0%) 0/124 (0%) 0/124 (0%)
    Serious Adverse Events
    Treatment A (CHF 718 pMDI 100 µg TDD) Treatment B (CHF 718 pMDI 400 µg TDD) Treatment C (CHF 718 pMDI 800 µg TDD) Treatment D (Placebo) Treatment E (QVAR^®, 320 µg TDD)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 1/119 (0.8%) 2/120 (1.7%) 2/121 (1.7%) 1/124 (0.8%) 0/124 (0%)
    Eye disorders
    Diplopia 0/119 (0%) 0 1/120 (0.8%) 1 0/121 (0%) 0 0/124 (0%) 0 0/124 (0%) 0
    Retinal detachment 0/119 (0%) 0 0/120 (0%) 0 0/121 (0%) 0 1/124 (0.8%) 1 0/124 (0%) 0
    General disorders
    Chest pain 0/119 (0%) 0 1/120 (0.8%) 1 0/121 (0%) 0 0/124 (0%) 0 0/124 (0%) 0
    Infections and infestations
    Diverticulitis 0/119 (0%) 0 1/120 (0.8%) 1 0/121 (0%) 0 0/124 (0%) 0 0/124 (0%) 0
    Furuncle 0/119 (0%) 0 0/120 (0%) 0 1/121 (0.8%) 1 0/124 (0%) 0 0/124 (0%) 0
    Injury, poisoning and procedural complications
    Alcohol poisoning 0/119 (0%) 0 1/120 (0.8%) 1 0/121 (0%) 0 0/124 (0%) 0 0/124 (0%) 0
    Lower limb fracture 1/119 (0.8%) 1 0/120 (0%) 0 0/121 (0%) 0 0/124 (0%) 0 0/124 (0%) 0
    Multiple injuries 0/119 (0%) 0 0/120 (0%) 0 1/121 (0.8%) 1 0/124 (0%) 0 0/124 (0%) 0
    Psychiatric disorders
    Anxiety 0/119 (0%) 0 0/120 (0%) 0 1/121 (0.8%) 1 0/124 (0%) 0 0/124 (0%) 0
    Other (Not Including Serious) Adverse Events
    Treatment A (CHF 718 pMDI 100 µg TDD) Treatment B (CHF 718 pMDI 400 µg TDD) Treatment C (CHF 718 pMDI 800 µg TDD) Treatment D (Placebo) Treatment E (QVAR^®, 320 µg TDD)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 18/119 (15.1%) 8/120 (6.7%) 25/121 (20.7%) 28/124 (22.6%) 21/124 (16.9%)
    Infections and infestations
    Oral candidiasis 1/119 (0.8%) 1 0/120 (0%) 0 6/121 (5%) 6 0/124 (0%) 0 4/124 (3.2%) 4
    Upper respiratory tract infection 6/119 (5%) 6 2/120 (1.7%) 2 3/121 (2.5%) 3 3/124 (2.4%) 3 7/124 (5.6%) 7
    Viral upper respiratory tract infection 6/119 (5%) 6 1/120 (0.8%) 1 7/121 (5.8%) 7 6/124 (4.8%) 6 3/124 (2.4%) 3
    Respiratory, thoracic and mediastinal disorders
    Asthma 4/119 (3.4%) 4 3/120 (2.5%) 3 5/121 (4.1%) 5 11/124 (8.9%) 11 5/124 (4%) 5
    Cough 0/119 (0%) 0 2/120 (1.7%) 2 2/121 (1.7%) 2 4/124 (3.2%) 4 1/124 (0.8%) 1
    Dyspnoea 1/119 (0.8%) 1 0/120 (0%) 0 2/121 (1.7%) 2 4/124 (3.2%) 4 1/124 (0.8%) 1

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    Chiesi can publish and/or present any results of this study at scientific meetings, and to submit the clinical trial data to national and international Regulatory Authorities. Chiesi reserves the right to use such data for industrial purposes. Investigators will inform Chiesi before using the results of the study for publication or presentation, and agree to provide the Sponsor with a copy of the proposed presentation. Data from individual study sites must not be published separately.

    Results Point of Contact

    Name/Title Clinical Trial Transparency
    Organization Chiesi Farmaceutici S.p.A.
    Phone + 39 0521 2791
    Email clinicaltrials_info@chiesi.com
    Responsible Party:
    Chiesi Farmaceutici S.p.A.
    ClinicalTrials.gov Identifier:
    NCT03084718
    Other Study ID Numbers:
    • CCD-05993AA3-01
    First Posted:
    Mar 21, 2017
    Last Update Posted:
    Dec 14, 2021
    Last Verified:
    Dec 1, 2021